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Understanding parent-pediatrician interactions for the design of health technologies

Published:11 November 2010Publication History

ABSTRACT

The Well Child Visit between a parent and a pediatrician is one of the fundamental means to ensure the healthy development of young children. In this paper, we present the results of a qualitative, formative study aiming to understand the nature of the interactions between parents and pediatricians and the structure of Well Child Visits. The purpose of the study is to inform the design of health technologies for parents and pediatric care. To understand this interaction, we observed 16 Well Child Visits with 8 families and 2 pediatricians over the course of 3 months, conducted interviews and a focus group with parents and pediatricians, and surveyed 43 parents. We discuss the fundamentals of the visits, including visit length and wait times, topics discussed, and the people involved. Our results show that parents and pediatricians perceive one another favorably, but there are still a number of tensions and inequalities which could be addressed by technology. We also provide a discussion of the major issues and design opportunities for interactive technology to improve pediatric care.

References

  1. Abowd, G.D. The Family Video Archive: An annotation and browsing environment for home movies. In Proceedings of MIR '03. 2003. Google ScholarGoogle ScholarDigital LibraryDigital Library
  2. American Academy of Pediatrics. Recommendations for Preventive Pediatric Health Care (Periodicity Schedule). Retrieved June 2010, from AAP Website: http://practice.aap.org/content.aspx?aid=1599Google ScholarGoogle Scholar
  3. Axelrod, D.A., and S. D. Goold. Maintaining Trust in the Surgeon-Patient Relationship. Archives of Surgery. Volume 133. pp. 55--61. 2000.Google ScholarGoogle Scholar
  4. Bensing, J.M., Tromp, F., van Dulmen, S., van den Brink-Muinen, A, Verheul, W., and Schellevis, F.G. Shifts in doctor-patient communication between 1986 and 2002: a study of videotaped General Practice consultations with hypertension patients. BMC Family Practice. Volume 7, Issue 62. 2006.Google ScholarGoogle Scholar
  5. Beyer, H., Holtzblatt, K. Contextual Design: Defining Customer-Centered Systems. Morgan Kaufmann, 1992. Google ScholarGoogle ScholarDigital LibraryDigital Library
  6. Bowman, M. A., Herndon, A., Sharp, P. C., & Dignan, M. B. Assessment of the patient-doctor interaction scale for measuring patient satisfaction. Patient Education & Counseling. pp. 75--80. 1992.Google ScholarGoogle Scholar
  7. Bricker, D.D., Squires, J., Potter, L.W., & Twombly, R.E. Ages & Stages Questionnaires (ASQ): A Parent-Completed, Child-Monitoring System. Paul H. Brookes Publishing CO. 1999.Google ScholarGoogle Scholar
  8. Broom, A. Virtually He@lthy: The Impact of Internet Use on Disease Experience and the Doctor-Patient Relationship. Qualitative Health Research. Vol. 15, No. 3. pp. 325--345. 2005.Google ScholarGoogle ScholarCross RefCross Ref
  9. Brush, A. B., Inkpen, K. M., and Tee, K. SPARCS: exploring sharing suggestions to enhance family connectedness. In the Proceedings of CSCW '08, pp. 629--638. 2008. Google ScholarGoogle ScholarDigital LibraryDigital Library
  10. Domínguez Aurrecoechea, B., Lorenzo, J.A. People accompanying children to pediatric visits: is something changing? Aten Primaria. 1998 Oct 31; 22(7): 444--9.Google ScholarGoogle Scholar
  11. Foucault, B.E. Designing Technology for Growing Families. Technology@Intel Magazine. 2005.Google ScholarGoogle Scholar
  12. Glaser, B. Basics of Grounded Theory Analysis. Emergence vs. Forcing. Sociology Press, 1992.Google ScholarGoogle Scholar
  13. Grimes, A., Tan, D., and Morris, D. Toward technologies that support family reflections on health. In the Proceedings of GROUP'09. pp. 311--320. 2009. Google ScholarGoogle ScholarDigital LibraryDigital Library
  14. Harrington, J., L. M. Noble, S. P. Newman. Improving patients' communication with doctors: a systematic review of intervention studies. Patient Education and Counseling. Volume 52. p. 7--16. 2004.Google ScholarGoogle ScholarCross RefCross Ref
  15. Hayes, G.R., Abowd, G.D., Davis, J.S., Blount, M., Ebling, M., Mynatt, E.D. Opportunities for Pervasive Computing in Chronic Cancer Care. In the Proceedings Pervasive 2008 2008, 262--279. Google ScholarGoogle ScholarDigital LibraryDigital Library
  16. Hsu, J, Huang, J., Fung, V., Robertson, N., Jimison, H., Frankel, R. Health Information Technology and Physician-Patient Interactions: Impact of Computers on Communication during Outpatient Primary Care Visits. Journal of the American Medical Informatics Association. Vol. 12, Num. 4. p. 474--480. 2005.Google ScholarGoogle ScholarCross RefCross Ref
  17. Hutchinson, H., Mackay, W., Westerlund, B., Bederson, B. B., Druin, A., Plaisant, C., Beaudouin-Lafon, M., Conversy, S., Evans, H., Hansen, H., Roussel, N., and Eiderbäck, B. Technology probes: inspiring design for and with families. In the Proceedings of CHI '03. pp. 17--24. 2003. Google ScholarGoogle ScholarDigital LibraryDigital Library
  18. Jeong, H., Park, S., and Zimmerman, J. Opportunities to support parents in managing their children's health. In CHI '08 Extended Abstracts. 3225--3230. 2008. Google ScholarGoogle ScholarDigital LibraryDigital Library
  19. Kientz, J.A., Arriaga, R.I., and Abowd, G.D. Baby Steps: Evaluation of a System to Support Record-Keeping for Parents of Young Children. In the Proceedings of CHI '09, pp. 1713--1722. 2009. Google ScholarGoogle ScholarDigital LibraryDigital Library
  20. Kientz, J.A., Arriaga, R.I., Chetty, M., Hayes, G.R., Richardson, J., Patel, S.N., and Abowd, G.D. Grow and Know: Understanding Record-Keeping Needs for Tracking the Development of Young Children. In the Proceedings of CHI '07. 2007. Google ScholarGoogle ScholarDigital LibraryDigital Library
  21. Lee, M. K., Davidoff, S., Zimmerman, J., and Dey, A. K. Smart bag: managing home and raising children. In the Proceedings of DPPI '07. 434--437. 2007. Google ScholarGoogle ScholarDigital LibraryDigital Library
  22. MacKean, G.L., W. E. Thurston, and C. M. Scott. Bridging the divide between families and health professionals' perspectives on family-centred care. Health Expectations. Volume 8. pp. 74--85. 2005.Google ScholarGoogle ScholarCross RefCross Ref
  23. Mamykina, L., Mynatt, E.D., Kaufman, D.R. Investigating Health Management Practices of Individuals with Diabetes. In the Proceedings of CHI '06, ACM Press, 2006, 927--936. Google ScholarGoogle ScholarDigital LibraryDigital Library
  24. Neustaedter, C., & Brush, A.J. "LINC-ing" the family: the participatory design of an inkable family calendar. In the Proceedings of CHI '06. pp. 141--150. 2006. Google ScholarGoogle ScholarDigital LibraryDigital Library
  25. Onor, M.L. and S. Misan. The Clinical Interview and the Doctor-Patient Relationship in Telemedicine. Telemedicine and E-Health. Volume 11, Number 1. pp. 102--105. 2005.Google ScholarGoogle Scholar
  26. Park, S., Jeong, H., Zimmerman, J. ENSURE: Support for Parents in Managing their Children's Health. In the Proceedings of Design and Emotion, 2008.Google ScholarGoogle Scholar
  27. Wasserman, R.C., Inui, T.S., Barriatua, R.D., Carter, W.B., and Lippincott, P. Pediatric Clinicians' Support for Parents Makes a Difference: An Outcome-Based Analysis of Clinician-Parent Interaction. PEDIATRICS Vol. 74 No. 6 December 1984, pp. 1047--1053.Google ScholarGoogle Scholar
  28. Westeyn, T.L. Kientz, J.A., Starner, T. and Abowd, G.D. Designing Toys with Automatic Play Characterization for Supporting the Assessment of a Child's Development. Workshop at Interaction Design & Children '08. Google ScholarGoogle ScholarDigital LibraryDigital Library

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            cover image ACM Other conferences
            IHI '10: Proceedings of the 1st ACM International Health Informatics Symposium
            November 2010
            886 pages
            ISBN:9781450300308
            DOI:10.1145/1882992

            Copyright © 2010 ACM

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            Publication History

            • Published: 11 November 2010

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